FREDRICK GILLAM

CORDOVA, TN
NPI1922512441
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor Professional
(Licence: TN  0000003668)
Enumeration Date2017-11-20
Last Update Date2017-11-20
Business Address
MR. FREDRICK GILLAM LPC-MHSP
815 EXOCET DR STE 107
CORDOVA, TN 38018-2257
Phone number: 901-230-2409
Mailing Address
MR. FREDRICK GILLAM LPC-MHSP
PO BOX 2911
CORDOVA, TN 38088-2911
Phone number: 901-230-2409
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